CEN - practice exam
Study online at https://quizlet.com/_fektzo
1. The nurse is caring for a patient who has a high fever, C. Thyroid storm
central nervous system dysfunction and tachycardia.
The nurse should recognize that the patient may be
experiencing
A. myxedema crisis.
B. Beck's triad.
C. thyroid storm.
D. hyperosmolar hyperglycemic nonketotic syndrome
(HHNS).
2. Which of the following assessment findings associat- B. decreasing level of con-
ed with a skull fracture indicate the need for further sciousness and restless-
intervention? ness
A. otorrhea, nausea, and vomiting
B. decreasing level of consciousness and restlessness
C. early evidence of periorbital ecchymosis and photo-
phobia
D. rhinorrhea and headache or dizziness
3. Upon initial assessment of a male patient involved in C. the patient may be a vic-
a motor vehicle crash, the nurse observes bruises in tim of domestic violence.
various stages of healing to his torso. He denies any
medical history. When asked about the bruising, the
patient avoids eye contact, states that he fell yester-
day, and asks if his male partner has arrived to the ED.
The nurse suspects:
A. the patient may have undiagnosed coagulopathy.
B. the bruising was sustained during the motor vehi-
cle crash.
, CEN - practice exam
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C. the patient may be a victim of domestic violence.
D. the bruising is a result of the stated fall.
4. The nurse is caring for a patient who became unre- b. norepinephrine
sponsive after diving head-first into a shallow pool.
The patient is experiencing refractory hypotension.
The nurse should prepare for the administration of
a. lactated Ringers.
b. norepinephrine.
c. normal saline.
d. epinephrine.
5. A 3-year-old child who has acute respiratory distress is A. epiglottitis
admitted to the emergency department. The child is
sitting forward and drooling, and the neck is extend-
ed. These findings support the diagnosis of
A. epiglottitis.
B. bronchiolitis.
C. croup.
D. aspiration of a foreign body.
6. The nurse understands that adenosine is adminis- A. IV push over 1-2 sec-
tered onds.
A. IV push over 1-2 seconds.
B. as a bolus over 10-15 minutes.
C. as a bolus over 1 hour.
D. IV push over 1-2 minutes.
7. A man who briefly lost consciousness after a motor A. repeat the neurologic
vehicle crash is alert and oriented upon arrival at the assessment.
emergency department. The patient states that he is
fine except for an abrasion where his head hit the door
frame of the vehicle. The patient complains of blurred
, CEN - practice exam
Study online at https://quizlet.com/_fektzo
vision 1 hour later. The nurse should FIRST
A. repeat the neurologic assessment.
B. obtain orthostatic vital signs.
C. assess visual acuity.
D. obtain blood glucose measurement.
8. After a non-traumatic resuscitation, the patient has a A. initiation of target-
perfusing ECG rhythm and a stable blood pressure, ed temperature manage-
but the patient remains comatose. The nurse should ment.
NEXT prepare for
A. initiation of targeted temperature management.
B. initiation of stroke protocol.
C. transport to the cardiac catheterization lab.
D. transport to the neurovascular suite.
9. After a patient has an episode of violent behavior in D. encourage the patient
the waiting room, an important intervention is to to verbalize his feelings
A. tell the patient to get himself under control. about the situation.
B. instruct the patient to be quiet and speak only when
spoken to.
C. allow the patient to go home as soon as possible.
D. encourage the patient to verbalize his feelings
about the situation.
10. The nurse is caring for a patient with complaints C. respiratory status.
of progressive, ascending paralysis starting from the
feet and progressing over the last week. It would be a
PRIORITY for the nurse to monitor the patient's
A. pupillary response.
B. peripheral pulses.
C. respiratory status.
D. Blood glucose
, CEN - practice exam
Study online at https://quizlet.com/_fektzo
11. A patient with acute cocaine intoxication should be A. rising core body tem-
expected to have perature.
A. rising core body temperature.
B. drowsiness.
C.flaccid extremities.
D. first-degree AV block.
12. Which of the following ocular conditions requires the D. sudden, painless loss of
HIGHEST treatment priority? vision in one eye
A. periorbital hematoma with edema
B. hyphema following a blow to the eye
C. a retained metal foreign body
D. sudden, painless loss of vision in one eye
13. A patient presents with complaints of fatigue and ex- B. situational crisis.
haustion, and reveals a recent move across country
for a new high stress job. The patient admits to recent
increase in alcohol consumption. The nurse suspects
the patient is experiencing:
A. schizophrenia.
B. situational crisis.
C. psychotic depression.
D. acute mania.
14. The nurse is caring for a patient who suddenly stops C. start chest compres-
breathing and is in ventricular fibrillation. The nurse sions.
should FIRST
A. perform synchronized cardioversion at 200 joules.
B. provide oxygen and ventilation via a bag-mask de-
vice.
C. start chest compressions.
D. administer 1 mg of intravenous epinephrine.
Study online at https://quizlet.com/_fektzo
1. The nurse is caring for a patient who has a high fever, C. Thyroid storm
central nervous system dysfunction and tachycardia.
The nurse should recognize that the patient may be
experiencing
A. myxedema crisis.
B. Beck's triad.
C. thyroid storm.
D. hyperosmolar hyperglycemic nonketotic syndrome
(HHNS).
2. Which of the following assessment findings associat- B. decreasing level of con-
ed with a skull fracture indicate the need for further sciousness and restless-
intervention? ness
A. otorrhea, nausea, and vomiting
B. decreasing level of consciousness and restlessness
C. early evidence of periorbital ecchymosis and photo-
phobia
D. rhinorrhea and headache or dizziness
3. Upon initial assessment of a male patient involved in C. the patient may be a vic-
a motor vehicle crash, the nurse observes bruises in tim of domestic violence.
various stages of healing to his torso. He denies any
medical history. When asked about the bruising, the
patient avoids eye contact, states that he fell yester-
day, and asks if his male partner has arrived to the ED.
The nurse suspects:
A. the patient may have undiagnosed coagulopathy.
B. the bruising was sustained during the motor vehi-
cle crash.
, CEN - practice exam
Study online at https://quizlet.com/_fektzo
C. the patient may be a victim of domestic violence.
D. the bruising is a result of the stated fall.
4. The nurse is caring for a patient who became unre- b. norepinephrine
sponsive after diving head-first into a shallow pool.
The patient is experiencing refractory hypotension.
The nurse should prepare for the administration of
a. lactated Ringers.
b. norepinephrine.
c. normal saline.
d. epinephrine.
5. A 3-year-old child who has acute respiratory distress is A. epiglottitis
admitted to the emergency department. The child is
sitting forward and drooling, and the neck is extend-
ed. These findings support the diagnosis of
A. epiglottitis.
B. bronchiolitis.
C. croup.
D. aspiration of a foreign body.
6. The nurse understands that adenosine is adminis- A. IV push over 1-2 sec-
tered onds.
A. IV push over 1-2 seconds.
B. as a bolus over 10-15 minutes.
C. as a bolus over 1 hour.
D. IV push over 1-2 minutes.
7. A man who briefly lost consciousness after a motor A. repeat the neurologic
vehicle crash is alert and oriented upon arrival at the assessment.
emergency department. The patient states that he is
fine except for an abrasion where his head hit the door
frame of the vehicle. The patient complains of blurred
, CEN - practice exam
Study online at https://quizlet.com/_fektzo
vision 1 hour later. The nurse should FIRST
A. repeat the neurologic assessment.
B. obtain orthostatic vital signs.
C. assess visual acuity.
D. obtain blood glucose measurement.
8. After a non-traumatic resuscitation, the patient has a A. initiation of target-
perfusing ECG rhythm and a stable blood pressure, ed temperature manage-
but the patient remains comatose. The nurse should ment.
NEXT prepare for
A. initiation of targeted temperature management.
B. initiation of stroke protocol.
C. transport to the cardiac catheterization lab.
D. transport to the neurovascular suite.
9. After a patient has an episode of violent behavior in D. encourage the patient
the waiting room, an important intervention is to to verbalize his feelings
A. tell the patient to get himself under control. about the situation.
B. instruct the patient to be quiet and speak only when
spoken to.
C. allow the patient to go home as soon as possible.
D. encourage the patient to verbalize his feelings
about the situation.
10. The nurse is caring for a patient with complaints C. respiratory status.
of progressive, ascending paralysis starting from the
feet and progressing over the last week. It would be a
PRIORITY for the nurse to monitor the patient's
A. pupillary response.
B. peripheral pulses.
C. respiratory status.
D. Blood glucose
, CEN - practice exam
Study online at https://quizlet.com/_fektzo
11. A patient with acute cocaine intoxication should be A. rising core body tem-
expected to have perature.
A. rising core body temperature.
B. drowsiness.
C.flaccid extremities.
D. first-degree AV block.
12. Which of the following ocular conditions requires the D. sudden, painless loss of
HIGHEST treatment priority? vision in one eye
A. periorbital hematoma with edema
B. hyphema following a blow to the eye
C. a retained metal foreign body
D. sudden, painless loss of vision in one eye
13. A patient presents with complaints of fatigue and ex- B. situational crisis.
haustion, and reveals a recent move across country
for a new high stress job. The patient admits to recent
increase in alcohol consumption. The nurse suspects
the patient is experiencing:
A. schizophrenia.
B. situational crisis.
C. psychotic depression.
D. acute mania.
14. The nurse is caring for a patient who suddenly stops C. start chest compres-
breathing and is in ventricular fibrillation. The nurse sions.
should FIRST
A. perform synchronized cardioversion at 200 joules.
B. provide oxygen and ventilation via a bag-mask de-
vice.
C. start chest compressions.
D. administer 1 mg of intravenous epinephrine.
